Active NPIIndividual provider

Mrs. Leah M Bacon, MA, BCBA

Behavior Analyst in Springfield, Massachusetts

NPI Number1518315787
Practice location
1441 Main St, Suite 900, Springfield, MA 01103-1406
Fax
413-224-2274
Last updated
May 29, 2016

Leah Marie Bacon is a Behavior Analyst based in Springfield, MA. Leah Marie Bacon practices in Springfield, MA and has the professional credentials of MA, BCBA. The NPI Number for Leah Marie Bacon is 1518315787 and holds a License No. 619 (MA). The current practice location address for Leah Marie Bacon is 1441 Main St, Suite 900, Springfield, MA 01103-1406 and can be reached out via phone at 603-689-5825 and via fax at 413-224-2274.

Provider Profile Details

NPI Number
1518315787
Provider Name
Leah Marie Bacon
Credential
MA, BCBA
Provider Entity Type
Individual
Gender
Female
Address
1441 Main St, Suite 900, Springfield, MA 01103-1406
Phone Number
603-689-5825
Fax Number
413-224-2274
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
May 29, 2016
Last Update Date
May 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1441 Main St
Suite 900
Springfield, MA 01103-1406
Zip
01103-1406
Phone Number
603-689-5825
Fax Number
413-224-2274
Springfield, MA 01103Get directions →

Provider Business Mailing Address Details

Address
1441 Main St
Suite 900
Springfield, MA 01103-1406
City
Springfield
State
MA
Zip
01103-1406
Phone Number
603-689-5825
Fax Number
413-224-2274

License Information

License Number
619
License State
MA
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Leah M Bacon, MA, BCBA?

The NPI number of Mrs. Leah M Bacon, MA, BCBA is 1518315787. It was assigned on May 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Mrs. Leah M Bacon, MA, BCBA?

Mrs. Leah M Bacon, MA, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 619.

Where does Mrs. Leah M Bacon, MA, BCBA practice?

The practice location is 1441 Main St, Suite 900, Springfield, MA 01103-1406. The office can be reached at 603-689-5825 (phone) or 413-224-2274 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518315787 directly on the NPPES registry website.

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